Psycho-Socio-Cultural Determinants of Food Choice: A Qualitative Study on Adults in Social and Cultural Context of Iran
AbstractBackground: Food choice is a process through which people think, feel, and eat food. It is not only influence individuals' health and well-being, families and communities, but also has effect on regional, national, and global levels. This qualitative study was carried out to explore perceptions and lived experiences of Tehranian adults on psychological, social and cultural determinants of food choice.Methods: In this qualitative design, 33 adults aged 30-64 years old were recruited from various districts of Tehran, Capital of Iran to make us capable of exploring how people make decision about food choice in practice and shape their perception, attitude and eating practices An individual in-depth semi-structured interview guide included major questions with follow-up probes was used to explore participants’ current and past eating habits from childhood to adulthood, dietary change at different life courses and effective psychological state on food selection in different seasons.Findings: This study revealed that food choice in the studied adults (30-64 years old) is widely influenced by psychological, social and cultural determinants which can be categorized into five main themes: Cultural context and patterns, Social Structure and Norms, Information Resources and Media, Household and Family structure, Nutrition transition.Conclusions: The findings clarify the importance of social and cultural contexts which influence the food choice of adults in metropolis like Tehran. Many of these concepts contextualize from the childhood and with the development of individuals. These findings could serve as guidance to design socio-culturally appropriate strategies and improve dietary behaviors of Iranians.
Boutayeb A, Boutayeb S. The burden of non communicable diseases in developing countries. Int J Equity Health 2005; 4: 2.
Buttriss J, Stanner S, Mckevith B, Nugent A, Kelly C, Phillips F, et al. A critical review of the psychosocial basis of food choice and identification of tools to effect positive food choice. London: Food Standards Agency; 2004.
Preedy Vr, Watson Rr, Martin Cr. Handbook of behavior, food and nutrition. New York: Springer; 2011.
Barjolle D, Gorton M, Milošević Đorđević J, Stojanović Z . Food consumer science: theories, methods and application to the Western Balkans. Springer Science & Business Media; 2013.
Devine CM, Connors MM, Sobal J, Bisogni CA. Sandwiching it in: spillover of work onto food choices and family roles in low- and moderate-income urban households. Soc Sci Med 2003; 56: 617–630.
Wethington E. An overview of the life course perspective: Implications for health and nutrition. J Nutr Educ Behav 2005; 37: 115-120.
Wethington E, Johnson-Askew WL. Contributions of the life course perspective to research on food decision making. Annals of Behavioral Medicine 2009; 38: 74-80.
Mutsikiwa M, Basera CH. The influence of socio-cultural variables on consumers’ perception of halal Food products: A Case of Masvingo Urban, Zimbabwe. International Journal of Business and Management 2012; 7: 112-119.
Winter Falk L, Bisogni CA, Sobal J. Food Choice Processes of Older Adults: A Qualitative Investigation. Journal of Nutrition Education 1996; 28: 257-265.
Devine CM, Connors M, Bisogni CA, Sobal J. Life-Course Influences on Fruit and Vegetable Trajectories: Qualitative Analysis of Food Choices. The Journal of Nutrition Education and Behavior 1998; 30: 361-370.
Devine CM, Sobal J, Bisogni CA, Connors M. Food Choices in Three Ethnic Groups: Interactions of Ideals, Identities, and Roles. Journal of Nutrition Education 1999; 31: 86-93.
Lake AA, Hyland R M, Rugg-Gunn AJ, Mathers JC, Adamson AJ. Combining social and nutritional perspectives: from adolescence to adulthood (the ASH30 study). British Food Journal 2009; 111: 1200-1211.
Bisogni CA, Connors M, Devine CM, Sobal J. Who We Are and How We Eat: A Qualitative Study of Identities in Food Choice. J Nutr Educ Behav 2002; 34:128-139.
Delaney M, Mccarthy M. Food choice and health across the life course: A qualitative study examining food choice in older Irish adults. 113th EAAE Seminar “A resilient European food industry and food chain in a challenging world”. Chania: Crete Greece; 2009.
Connors M, Bisogni CA, Sobal J, Devine CM. Managing values in personal food systems. Appetite 2001; 36: 189-200.
Blake C, Bisogni CA. Personal and Family Food Choice Schemas of Rural Women in Upstate New York. J Nutr Educ Behav 2003; 35: 282-293.
Antin TM, Hunt G. Food choice as a multidimensional experience. A qualitative study with young African American women. Appetite 2012; 58: 856-863.
Galal O. Nutrition-related health patterns in the Middle East. Asia Pac J Clin Nutr 2003; 12: 337-343.
Atinmo T, Mirmiran P, Oyewole OE, Belahsen R, Serra-Majem L. Breaking the poverty/malnutrition cycle in Africa and the Middle East. Nutr Rev 2009; 67 Suppl 1:S40-46.
Ghassemi H, Harrison G, Mohammad K. An accelerated nutrition transition in Iran. Public Health Nutr 2002; 5: 149-155.
Ghassemi H, Kimiagar M, Koupahi M. [Food and nutrition security in Tehran province (Persian)]. Tehran: National Nutrition and Food Technology Research Institute; 1996.
Popkin BM, Adair LS, Ng SW. Global nutrition transition and the pandemic of obesity in developing countries. Nutr Rev 2012; 70: 3-21.
Karimi Shahanjarini A, Shojaezadeh D, Majdzadeh R, Rashidian A, Omidvar N. [Application of an integrative approach to identify determinants of junk food consumption among female adolescent (persian)]. Iranian Journal of Nutrition Sciences & Food Technology 2009; 4: 61-70 .
Farahmand M, Amiri P, Ramezani Tehrani F, Momenan AA, Mirmiran P, Azizi F. What are the main barriers to healthy eating among families? A qualitative exploration of perceptions and experiences of Tehranian men. Appetite 2015; 89: 291-297.
Farahmand M, Tehrani FR, Amiri P, Azizi F. Barriers to healthy nutrition: perceptions and experiences of Iranian women. BMC public health 2012; 12: 1064.
Setayeshgar Z, Omidvar N, Alavi Majd H, Rezazadeh A. [The Impact of Family Behavior on the Consumption of Fruits and Vegetables among Female Adolescents in Tehran (persian)]. Journal of Population Association of Iran 2008; 2: 152-174.
Maxwell J. Qualitative Research Design: An Interactive Approach Sage. Newbury Park: CA; 2005.
Corbin J, Strauss A. Basics of qualitative research: Techniques and procedures for developing grounded theory, Sage publications; 2014.
Lincoln S Y, Guba EG. Naturalistic inquiry. Beverly Hills. CA: Sage; 1985.
Creswell JW. Research design: Qualitative, quantitative, and mixed methods approaches. Sage publications; 2013.
Lewins A, Silver C. Using software in qualitative research: A step-by-step guide. Sage; 2007.
Ritzer G. The McDonaldization of society 6, Pine Forge Press; 2011.
Furst T, Connors M, Bisogni CA, Sobal J. Falk LW. Food Choice: a Conceptual Model of the Process. Appetit 1996; 26: 247–265.
Sobal J, Bisogni CA. Constructing Food Choice Decisions. Ann Behav Med 2009: 38: S37-46.
Devine CM. A Life Course Perspective: Understanding Food Choices in Time, Social Location, and History. J Nutr Educ Behav 2005;37:121-128.
Pettinger C, Holdsworth M, Gerber M. Psycho-social influences on food choice in Southern France and Central England. Appetite 2004; 42: 307-316.
de Castro JM. Eating behavior: lessons from the real world of humans. Nutrition 2000; 16: 800-813.
Goffman E. Stigma: Notes on the management of spoiled identity. new york london toronto: published by simonand and schuster Icn; 2009.
Khajehnoori B, Moghaddas AA. [An Investigation of Relationship between Globalization and Body Image (persian)]. Applied Sociolog 2009; 20: 1-24.
Bove CF, Sobal J, Rauschenbach BS. Food choices among newly married couples: convergence, conflict, individualism, and projects. Appetite 2003; 40: 25-41.
Worsley A. Nutrition knowledge and food consumption: can nutrition knowledge change food behaviour? Asia Pac J Clin Nutr 2002; 11: S579-585.
Borzekowski DL, Robinson TN. The 30-second effect: an experiment revealing the impact of television commercials on food preferences of preschoolers. J Am Diet Assoc 2001; 101: 42-46.
Taras H, Zive M, Nader P, Berry CC, Hoy T, Boyd C. Television advertising and classes of food products consumed in a paediatric population. International journal of Advertising 2000; 19: 487-493.
Inglis V, Ball K, Crawford D. Why do women of low socioeconomic status have poorer dietary behaviours than women of higher socioeconomic status? A qualitative exploration. Appetite 2005; 45: 334-343.
Dammann KW, Smith C. Factors affecting low-income women's food choices and the perceived impact of dietary intake and socioeconomic status on their health and weight. J Nutr Educ Behav 2009; 41: 242-253.
Mancino L, Lin B-H, Ballenger N. The role of economics in eating choices and weight outcomes. Agricultural information Bulltin; 2004.
Azadbakht L, Mirmiran P, Hosseini F, Azizi F. Diet quality status of most Tehranian adults needs improvement. Asia Pac J Clin Nutr 2005;14: 163-168.
Golzarand M, Mirmiran P, Jessri M, Toolabi K, Mojarrad M, Azizi F. Dietary trends in the Middle East and North Africa: an ecological study (1961 to 2007). Public Health Nutr 2012; 15: 1835-1844 .